<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">

        <div class="layui-form-item">
            <label class="layui-form-label">预付金额</label>
            <div class="layui-input-block">
                <input type="text" lay-verify="required" name="price" class="layui-input"   placeholder="请输入预付金额" value="{$row.price|default=''}">
            </div>
        </div>

        <div class="layui-form-item">
            <label class="layui-form-label">商家奖项</label>
            <div class="layui-input-block">
                <input type="text" lay-verify="required" name="award" class="layui-input"   placeholder="请输入商家奖项" value="{$row.award|default=''}">
            </div>
        </div>


        <div class="layui-form-item">
            <label class="layui-form-label">第几个中奖</label>
            <div class="layui-input-block">
                <input type="text" lay-verify="required" name="win" class="layui-input"   placeholder="请输入第几个中奖" value="{$row.win|default=''}">
            </div>
        </div>


        <div class="hr-line"></div>

        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>